Kaplan USMLE Step 2: Infectious Diseases

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Extra resources for Kaplan USMLE Step 2: Infectious Diseases

Sample text

Frostnip is a superficial freeze injury that causes no tissue loss. Patients complain of some discomfort, and the involved area is pale; rewarming quickly reverses the symptoms. Firstdegree frostbite is characterized by partial skin freezing, erythema, edema, no blisters, and desquamation several days later. Second-degree frostbite is characterized by full-thickness skin freezing, erythema, edema, and the presence of clear blisters. Patients complain of throbbing and numbness. Third-degree frostbite injuries are characterized by damage that extends into the subdermal plexis.

Firstdegree frostbite is characterized by partial skin freezing, erythema, edema, no blisters, and desquamation several days later. Second-degree frostbite is characterized by full-thickness skin freezing, erythema, edema, and the presence of clear blisters. Patients complain of throbbing and numbness. Third-degree frostbite injuries are characterized by damage that extends into the subdermal plexis. The skin is blue or gray, and there are hemorrhagic blisters. Patients complain of burning, shooting pains, and 30 Physical Diagnosis the feeling that the involved area feels like a block of wood.

The answer is b. ) High-altitude sickness can occur at altitudes greater than 9500 ft, and mountain climbers at extreme altitudes (over 18,000 ft) are susceptible to hypoxemia and physiologic deterioration. Allowing sufficient time to acclimate and avoiding rapid ascent may prevent acute mountain sickness (AMS). AMS is characterized by headache, breathlessness, nausea, vomiting, weakness, and lassitude, but may progress to ataxia, altered mental status, pulmonary edema, cerebral edema, and coma.

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